Individual provider · Type 1 NPI

Keith G. Pemberton I, MSW, P-LCSW

Clinical Social Worker · Greensboro, NC

NPI number 1073746772 Active

Practice location

801 Summit Ave, Suite 4
Greensboro, NC 27405-7856

Call (336) 674-9781 Map

Fax (866) 631-6282

Mailing address

1589 Skeet Club Rd, Suite 102-251
High Point, NC 27265-8817

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XP003878 (NC)
Social Worker 104100000XP003878 (NC)
Clinical Social Worker Primary 1041C0700XP003878 (NC)
School Social Worker 1041S0200XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1073746772

Keith G. Pemberton I, MSW, P-LCSW's National Provider Identifier is 1073746772, issued on Aug 27, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Greensboro, NC. The record was last updated on Aug 27, 2009.